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IV THERAPYPOCKET GUIDE
TABLE OF CONTENTS 1. Basic Principles of IV Therapy
2. Fluids and Electolytes
3. IV Delivery Systems
4. Peripheral IV Therapy
5. Central IV Therapy
6. IV Therapy and the Nursing Process
7. Crystalloid Solutions
8. Colloid Solutions
9. Blood Component Therapy
10. Parenteral Therapy
11. Iv Pharmacological Therapy
12. IV Therapy and Infants and Children
13. IV Therapy and the Elderly
14. IV Therapy within Community-Based Settings
Why is IV Therapy important? As many as 75% of patients admitted into the hospital receive some type of IV therapy. http://www.fastbleep.com/medical-notes/other/15/31/205 http://www.pearsonhighered.com/samplechapter/0131186116.pdf www.finlay-online.com/.../Introduction_to_IV_Therapy[1].pp 50%-70% of the average human is body fluids.  Distribution of fluid in the body is: 1/3 in extracellular fluid ,[object Object]
 Plasma                          
Transcellular fluid            2/3 in intracellular fluid ,[object Object]
 Other cells                      
Establish or maintain a fluid or electrolyte balance
Administer continuous or intermittent medication
Administer bolus medication
Administer fluid to keep vein open
 Administer blood or blood components
Administer intravenous anesthetics
Maintain or correct a patient's nutritional state
Administer diagnostic reagents
Monitor hemodynamic functionsIV fluids come in four different forms: • Colloids • Crystalloids • Blood and blood products • Oxygen-carrying solutions
	   Crystalloids						 Crystalloids are water with electrolytes, which form a true solution and are able to pass through a semipermeable membrane. Crystalloids are lost rapidly from intravascular space into interstitial space (depending on the osmolality), and they remain in extracellular compartment for about 45 minutes. Therefore they require larger volumes than colloids for fluid resuscitation. Eventually water from crystalloids diffuse through intracellular fluid as well (membrane pumps and metabolism alter crystalloid distribution and osmotic forces). These may be hypertonic, isotonic or hypotonic. Nevada and gasparis ,[object Object]
Because an isotonic solution stays in the intravascular space, it expands the intravascular compartment.HYPERTONIC ,[object Object],HYPOTONIC ,[object Object],A solution type depends on whether you want to change or maintain a patients fluid status.
Commonly Used Crystalloid IV Solutions http://instructor.mstc.edu/instructor/randers/documents/IV%20fluids%20chart.pdf
Colloids Colloid solutions are IV fluids that contain solutes in the form of large proteins or other similarly sized molecules. The proteins and molecules are so large that they cannot pass through the walls of the capillaries and onto the cells. Accordingly, colloids remain in the blood vessels for long periods of time and can significantly increase the intravascular volume (volume of blood). The proteins also have the ability to attract water from the cells into the blood vessels. However, although the movement of water from the cells into the bloodstream may be beneficial in the short term, continual movement in this direction can cause the cells to lose too much water and become dehydrated. http://www.pearsonhighered.com/samplechapter/0131186116.pdf http://www.modernmedicine.com/modernmedicine/data/articlestandard/rnweb/412007/463604/i1.gif ,[object Object]
plasma / albumin

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